| NPI | 1477896454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256240) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 254157) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2021-11-18 |