| NPI | 1629728845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH M.2200273) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2024-10-09 |