| NPI | 1376938852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11871) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2024-07-11 |