| NPI | 1023983525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 15088) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: LA 15088) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 15088) | |
| 1041S0200X Social Worker, School (Licence: LA 15088) | |
| 172V00000X Community Health Worker (Licence: LA 15088) | |
| 174H00000X Health Educator (Licence: LA 15088) | |
| 251B00000X Case Management (Licence: LA 15088) | |
| 251S00000X Community/Behavioral Health (Licence: LA 15088) | |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |