| NPI | 1548717515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 16917) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 16917) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-02-03 |