| NPI | 1659595759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5848-125) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WI 7308 120) |
| 101YP2500X Counselor, Professional (Licence: WI 2057-226) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-11-16 |