| NPI | 1235478496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2014-12-05 |