| NPI | 1063792984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16041) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW2945) |
| 1041C0700X Social Worker, Clinical (Licence: NC C015521) | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2025-04-16 |