| NPI | 1467882571 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL IMH12414) | 
| Enumeration Date | 2013-11-26 | 
| Last Update Date | 2015-04-20 |