| NPI | 1669061453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 255987) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 255683) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-08-31 |