| NPI | 1619335031 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 16192335031) | 
| Additional Taxonomies | 101Y00000X Counselor | 
| Enumeration Date | 2016-01-29 | 
| Last Update Date | 2018-07-26 |