| NPI | 1720151913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: ND 3842) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ND 3842) |
| 104100000X Social Worker (Licence: ND 3842) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2015-04-24 |