| NPI | 1477010502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171W00000X Contractor | |
| 174H00000X Health Educator | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-28 |