| NPI | 1922103605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10225) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL MH10225) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2014-03-24 |