| NPI | 1720403959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2013008445) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MO 2013008445) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-26 |