| NPI | 1912512120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 125822093503) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-05-10 |