| NPI | 1356882153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 251B00000X Case Management | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2018-07-18 |