| NPI | 1922654862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA KL722363) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX KL722363) |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-10-29 |