| NPI | 1588284533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 323) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2021-12-13 |