| NPI | 1194489955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: GA CSW007235) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 14086) |
| 171M00000X Case Manager/Care Coordinator (Licence: GA 4254441) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-27 |