| NPI | 1174918940 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: LA 11605) | 
| Additional Taxonomies | 104100000X Social Worker | 
| 1041C0700X Social Worker, Clinical (Licence: LA 11605) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-03-30 | 
| Last Update Date | 2025-03-07 |