| NPI | 1639210404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM T-CTL0220451) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2021-11-05 |