| NPI | 1376952614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12898) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041S0200X Social Worker, School (Licence: LA 12898) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2024-01-03 |