| NPI | 1316296304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P007889) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KY 5815) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2013-08-12 |