| NPI | 1598197766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL ISW8662) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL ISW8662) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2015-07-08 |