| NPI | 1790053304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 6516) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 6516) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 6516) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2024-07-01 |