| NPI | 1861121402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCM.0104968) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-14 |