| NPI | 1003222795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM100221) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2019-11-19 |