| NPI | 1699124305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 000000000000000) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2022-06-07 |