| NPI | 1871202929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 104100000X Social Worker |
| 172A00000X Driver (Licence: MD MD-10272598024) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-07-20 |