| NPI | 1770743148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH13523) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2020-12-29 |