| NPI | 1881743862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH5101) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |