| NPI | 1124471123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13965) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 13965) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 13965) | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2021-07-28 |