| NPI | 1184126369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 14707) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 14707) |
| 1041C0700X Social Worker, Clinical (Licence: LA 14707) | |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-04-29 |