| NPI | 1265944367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 010790741) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2018-12-31 |