| NPI | 1245774173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 6706) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 6706) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2018-05-02 |