| NPI | 1639425218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL MH13554) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2015-10-08 |