NPI | 1477104313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-78728) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA BBS-LCSW-130651) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-09-23 |
Last Update Date | 2025-06-30 |