| NPI | 1083287155 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM.0106153)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: FL CBHCM.0106153)  | |
| Enumeration Date | 2021-07-19 | 
| Last Update Date | 2025-05-03 |