| NPI | 1679711196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2012-06-05 |