| NPI | 1518493063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 8715) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2021-08-18 |