| NPI | 1992017578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 10113) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2021-12-03 |