| NPI | 1790236925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 5375) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 5375) |
| 171M00000X Case Manager/Care Coordinator (Licence: ND 5375) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2025-02-14 |