| NPI | 1467955567 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11339)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: 4207813)  | 
| Enumeration Date | 2018-03-14 | 
| Last Update Date | 2024-04-14 |