| NPI | 1770897647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: 4238192) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW127998) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50082856) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 17359) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904012064) | |
| 1041S0200X Social Worker, School (Licence: MD 1359) | |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2021-10-13 |