| NPI | 1669870028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW15019) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW15019) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL SW15019) | |
| 101YM0800X Counselor, Mental Health (Licence: FL SW15019) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2025-04-27 |