| NPI | 1609309186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-CTL0197701) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2018-07-31 |