| NPI | 1851783518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA CI5200) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2018-05-08 |