| NPI | 1033655980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12296) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 12296) |
| 405300000X Prevention Professional (Licence: LA 12296) | |
| 104100000X Social Worker (Licence: LA 12296) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2025-10-22 |