| NPI | 1679042204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: QMHS) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2019-04-18 |