| NPI | 1497280622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT F22-103786) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60750748) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-03-17 |