| NPI | 1679165369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 266260-3502) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 171M00000X Case Manager/Care Coordinator (Licence: UT 266260-3503) | |
| 104100000X Social Worker (Licence: UT 266260-3502) | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2024-04-19 |