| NPI | 1639743305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 16857) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: LA 16857) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2023-02-09 |