| NPI | 1619250586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 2014004871) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2014004871) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2021-07-20 |