| NPI | 1811240674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8293-123) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WI 128141121) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2015-08-27 |