| NPI | 1316543952 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7624-C) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AR 7624-m) | 
| 171M00000X Case Manager/Care Coordinator (Licence: AR 7624-M) | |
| Enumeration Date | 2020-12-09 | 
| Last Update Date | 2021-11-30 |