| NPI | 1801830054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ND 439-4-1-00-141) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: ND 79042) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2007-07-09 |