| NPI | 1972893436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NM 0138591) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0138591) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |