| NPI | 1952564189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 254071) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M8569) |
| 104100000X Social Worker (Licence: TN 10764) | |
| 1041S0200X Social Worker School (Licence: KY 7451) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2022-08-23 |