| NPI | 1881057669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13345) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 13345) |
| 104100000X Social Worker (Licence: LA 13345) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-03-04 |