| NPI | 1891167730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 11023) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2021-05-03 |