NPI | 1962050625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11118-123) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 132143-121) |
104100000X Social Worker | |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
Enumeration Date | 2019-08-27 |
Last Update Date | 2023-03-21 |