| NPI | 1518980846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ND 448-12-1-00-126) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ND 000079156) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-03-17 |