| NPI | 1902361561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 164557) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2025-03-28 |