| NPI | 1811478506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10477) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 10477) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 10477) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2025-02-11 |