| NPI | 1982131991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 164W00000X Licensed Practical Nurse (Licence: LA 20122542) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-06-25 |