| NPI | 1326412966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 11712) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11712) |
| 171M00000X Case Manager/Care Coordinator (Licence: 11712) | |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2020-01-28 |