| NPI | 1083108658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13269) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11098475-3501) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-09-05 |