NPI | 1851777171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW006425) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: NY 72085249) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2021-05-18 |