| NPI | 1508158353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN lsw0000008870) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TN asw0000000104) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |