| NPI | 1033538152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10583) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015274) |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2023-06-06 |