| NPI | 1750831079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14009) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 14009) |
| 104100000X Social Worker (Licence: LA 14009) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2020-06-09 |