| NPI | 1164204772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-12-13 |