| NPI | 1831485523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 006255) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: GA 006255) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2016-10-04 |