| NPI | 1467765750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8992317-3502) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2025-08-15 |