| NPI | 1043582349 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12160) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 12160) | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-02-01 | 
| Last Update Date | 2020-07-20 |