| NPI | 1821794108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 011633348) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA 011633348) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-09-24 |