| NPI | 1972139301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 117729) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-09-17 |