| NPI | 1396984431 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 174400000X Specialist | |
| Enumeration Date | 2009-02-12 | 
| Last Update Date | 2024-04-11 |