| NPI | 1558779801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09926475) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: PA CW019436) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2023-01-31 |