| NPI | 1114388295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12548) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 12548) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2024-10-30 |