NPI | 1790129047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS100635) |
Enumeration Date | 2013-04-17 |
Last Update Date | 2021-05-19 |