| NPI | 1750700035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YS0200X Counselor School |
| 101Y00000X Counselor | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-16 |