| NPI | 1730418104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 6447647-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 4363) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2019-04-10 |