| NPI | 1710449582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 6392) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 6392) |
| 1041C0700X Social Worker, Clinical (Licence: LA 6392) | |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 6392) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |