| NPI | 1558416941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WV 942) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-07-16 |