| NPI | 1952871733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 18174) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225200000X Physical Therapy Assistant (Licence: LA A5169) | |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2023-12-21 |