| NPI | 1932548351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-06-21 |