| NPI | 1972722098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15889) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MD G12709) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-06-12 |