| NPI | 1861156200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 13082475-3503) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2023-02-10 |