| NPI | 1407331952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MO 2015034355) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2015034355) |
| 101YP2500X Counselor, Professional (Licence: MO 2015034355) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2021-05-19 |