| NPI | 1467181412 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 171M00000X) | 
| Enumeration Date | 2022-06-06 | 
| Last Update Date | 2022-06-14 |