| NPI | 1689105512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 13509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 13509) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2018-07-25 |