| NPI | 1568021848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009867) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: TX 67766) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-12-04 |