| NPI | 1811131873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL 9376) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL 9736) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH 9376) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2022-04-12 |