| NPI | 1396492575 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0101241)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 104100000X Social Worker (Licence: FL CBHCMS.0101241)  | |
| Enumeration Date | 2022-03-07 | 
| Last Update Date | 2025-05-13 |