| NPI | 1770906356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT SWP-LCSW-LIC-4730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60308815) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50079750) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904008379) | |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-881) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-02-01 |
| Last Update Date | 2015-12-09 |