| NPI | 1962109256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126412) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 126412) |
| 1041C0700X Social Worker, Clinical (Licence: CT 14195) | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2025-01-08 |