| NPI | 1558776534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2020-03-16 |