| NPI | 1194495192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 15974) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 15974) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2022-11-05 |