| NPI | 1740723113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 11994) |
| 103K00000X Behavior Analyst (Licence: LA 11994) | |
| 104100000X Social Worker (Licence: LA 11994) | |
| 1041C0700X Social Worker Clinical (Licence: LA 11994) | |
| 1041S0200X Social Worker School (Licence: LA 11994) | |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2018-05-31 |