| NPI | 1518476829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 2203782977) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2203782977) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2019-05-19 |