| NPI | 1780870980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: GA 108980) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |