| NPI | 1831603661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: TN TN10245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7297) |
| 171M00000X Case Manager/Care Coordinator (Licence: TN 4229497) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904013403) | |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2023-03-02 |