| NPI | 1023442902 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 29201) | 
| Additional Taxonomies | 104100000X Social Worker | 
| 1041C0700X Social Worker, Clinical (Licence: TX 63805) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-08-27 | 
| Last Update Date | 2023-05-03 |