| NPI | 1578858056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA LMSW6034) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 614) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 614) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA LMSW6034) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2024-04-09 |