| NPI | 1932221702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3670) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 10000) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2018-05-30 |