| NPI | 1548701642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 14045) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 14045) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2019-08-09 |