| NPI | 1679064620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA PLC9201) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC9201) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2024-03-27 |