| NPI | 1104472216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171W00000X Contractor | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |