| NPI | 1912414616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 14180) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 14180) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-05-30 |