| NPI | 1790212538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13873) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 13873) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 13873) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-09-14 |