| NPI | 1932564556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA RSW11922) |
| Enumeration Date | 2015-12-25 |
| Last Update Date | 2018-05-18 |