| NPI | 1457605792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 372600000X) |
| 101Y00000X Counselor | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2019-01-10 |