| NPI | 1457761868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 8072) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-06-19 |