| NPI | 1568502391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9010) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2022-05-04 |