| NPI | 1295273779 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15688)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL ISW9849)  | 
| Enumeration Date | 2017-02-06 | 
| Last Update Date | 2020-07-07 |