| NPI | 1497228662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60930498) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CG60359334) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-04-22 |