| NPI | 1720288806 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: TX 25770) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 25770) | 
| Enumeration Date | 2007-07-18 | 
| Last Update Date | 2007-12-06 |