| NPI | 1871801548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID 7939) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LSW 29970) |
| 171M00000X Case Manager/Care Coordinator (Licence: ID 29970) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2022-03-08 |