| NPI | 1396499364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 8712) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 8712) |
| 101YP2500X Counselor, Professional (Licence: LA 8712) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2026-01-23 |