| NPI | 1639549777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 11710) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2018-07-31 |