| NPI | 1790946713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0114291) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2010-03-04 |