| NPI | 1962954180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 811240931) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2023-06-11 |