| NPI | 1316255995 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.011921) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 56076) | 
| 171M00000X Case Manager/Care Coordinator (Licence: TX 56076) | |
| Enumeration Date | 2010-09-17 | 
| Last Update Date | 2023-08-06 |