| NPI | 1912166893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7883-123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 127516-121) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2012-07-25 |