| NPI | 1700420619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS.0102803) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2025-06-09 |