NPI | 1174085419 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS0102588) |
Additional Taxonomies | 251B00000X Case Management (Licence: FL CBHCM102551) |
Enumeration Date | 2019-04-04 |
Last Update Date | 2023-05-20 |