| NPI | 1558727974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 13-673) | |
| 251B00000X Case Management (Licence: FL CBHCMS100827) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2024-04-08 |