| NPI | 1265666721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10111) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL IMH5103) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2010-03-18 |