| NPI | 1104216001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 58240102769) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 58240102769) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-02-12 |