| NPI | 1134818271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 18067) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 18067) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 011797393) | |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-12-04 |