| NPI | 1518256049 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012016401)  | 
| Enumeration Date | 2011-04-05 | 
| Last Update Date | 2016-04-19 |