| NPI | 1396253480 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 10700) |
| 104100000X Social Worker (Licence: LA 10700) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2023-05-15 |