| NPI | 1871245993 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 104100000X Social Worker | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-01-20 | 
| Last Update Date | 2024-12-11 |