| NPI | 1720311137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 20546) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00005489) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-09-16 |