| NPI | 1205361268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 14087) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 14087) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 14087) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2022-02-21 |