| NPI | 1992255475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK J083576630) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK J083576630) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2019-01-14 |