| NPI | 1770361156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 171W00000X Contractor |
| 101YS0200X Counselor School (Licence: GA 466388) | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |