| NPI | 1164744025 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM I-2249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-2249) |
| 171M00000X Case Manager/Care Coordinator (Licence: NM I-2249) | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |