| NPI | 1568068013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 247200000X Technician, Other | |
| 251S00000X | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2023-10-09 |