| NPI | 1770126815 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100987) | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2019-10-22 | 
| Last Update Date | 2024-11-17 |