| NPI | 1902548340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: FL MH19400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL MH19400) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH19400) | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2025-07-30 |