| NPI | 1417170051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2003006632) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MO 2003006632) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2023-06-01 |