| NPI | 1932566585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 13184) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 13184) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2019-04-24 |