| NPI | 1730552753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: LA 464581059) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2018-11-27 |