| NPI | 1063913721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 0009921466) |
| 1041C0700X Social Worker, Clinical (Licence: NY 098372) | |
| 251B00000X Case Management | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |