| NPI | 1851889547 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM102118)  | 
| Additional Taxonomies | 251B00000X Case Management | 
| Enumeration Date | 2018-04-27 | 
| Last Update Date | 2019-08-21 |