| NPI | 1508399007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6926) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 6926) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-05-08 |