| NPI | 1902342884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 13980) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 13980) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA 13980) | |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2025-02-20 |