| NPI | 1669724126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 5029) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2018-05-10 |