| NPI | 1336681659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 15701) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: LA 15701) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 15701) | |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2023-07-12 |