| NPI | 1649638107 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-45092)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 1041C0700X Social Worker, Clinical (Licence: ID LMSW-39896)  | |
| Enumeration Date | 2016-01-29 | 
| Last Update Date | 2024-05-09 |