| NPI | 1720592116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KS 3184) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: KS 3184) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-03-17 |