| NPI | 1285093005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LA 5736) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 5736) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |