NPI | 1508212804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14836) |
Additional Taxonomies | 104100000X Social Worker (Licence: LA 14836) |
171M00000X Case Manager/Care Coordinator (Licence: LA 14836) | |
101YM0800X Counselor, Mental Health | |
104100000X Social Worker (Licence: GA 12445) | |
Enumeration Date | 2016-05-05 |
Last Update Date | 2025-08-21 |