| NPI | 1629388202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 8634614-6009) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: UT 8634614-6004) | |
| 101YP2500X Counselor, Professional (Licence: OR C5932) | |
| 171M00000X Case Manager/Care Coordinator (Licence: UT 6681105) | |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2021-04-27 |