| NPI | 1811430432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 171M00000X Case Manager/Care Coordinator (Licence: LA Non-licensure) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2018-05-03 |