| NPI | 1255787859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 8663) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 8663) | |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2023-02-05 |