| NPI | 1265953996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA 88383) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 88383) |
| 225C00000X Rehabilitation Counselor (Licence: CA 88383) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2019-06-03 |