| NPI | 1699165928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 15651) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15111) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 15651) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2020-08-12 |