| NPI | 1811522642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 8044) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA PLC8044) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2022-01-11 |