| NPI | 1255815544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 11246123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2017036694) |
| 1041C0700X Social Worker Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2023-08-21 |