| NPI | 1740915198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 134179-121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 134179-121) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2023-03-30 |