| NPI | 1750887196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: LA RN099377) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-04 |