| NPI | 1962789529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2014007613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2011009369) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2023-07-10 |