| NPI | 1649034935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0102722) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL IMH26804) |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2026-03-26 |