| NPI | 1083895551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8058) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992754) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2021-12-06 |