| NPI | 1639824923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW010525) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 5734G) |
| 171M00000X Case Manager/Care Coordinator (Licence: 4255234) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |