| NPI | 1639549140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13204) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 13204) |
| 1041S0200X Social Worker, School (Licence: LA 13204) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2021-05-26 |