| NPI | 1487169561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MT BBH-LCPC-LIC-27104) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2018-05-22 |