| NPI | 1760784565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH12002) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL MH12002) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2014-03-19 |