| NPI | 1639543358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 10000) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2026-01-22 |