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 |