| NPI | 1619527207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 11446501-3502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 11446501-3503) |
| 171M00000X Case Manager/Care Coordinator (Licence: UT 11446501-3503) | |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-04-02 |