| NPI | 1295371888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 20-QMHA-I-02942) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 19-QMHA-R-0005) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2021-03-28 |