| NPI | 1659867893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009035151) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2009035151) |
| 171M00000X Case Manager/Care Coordinator (Licence: MO 2009035151) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2021-07-19 |