| NPI | 1235434838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH10592) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL MH10592) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2013-01-14 |