| NPI | 1518309327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR R091028) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR R091028) | |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2014-11-13 |