| NPI | 1346775954 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 008289175)  | 
| Enumeration Date | 2017-04-21 | 
| Last Update Date | 2018-11-05 |