| NPI | 1720539604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 10990) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2019-11-12 |