| NPI | 1972006120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH16792) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-01-08 |