| NPI | 1053960732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12256132-3501) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: UT 10092413-3503) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2022-12-15 |