| NPI | 1740984269 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health | 
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-03-28 | 
| Last Update Date | 2023-11-27 |