| NPI | 1972264646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-11-29 |