| NPI | 1912415878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 13354) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 13354) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-05-22 |