| NPI | 1942530662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL MH9068) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh9068) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2012-10-24 |