| NPI | 1104384759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 12256132-3502) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 104100000X Social Worker (Licence: UT 12256132-3502) | |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2021-08-24 |