| NPI | 1215441290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 17295) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCMS101163) |
| 104100000X Social Worker | |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2025-09-22 |