| NPI | 1396192969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 7245) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 7245) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-02-06 |