| NPI | 1922655570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 9039) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 106216) |
| 104100000X Social Worker (Licence: TN 11505) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2024-08-02 |