| NPI | 1487024063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4804) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker (Licence: LA 4804) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2020-07-20 |