| NPI | 1124779442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16422) |
| Additional Taxonomies | 104100000X Social Worker |
| 133N00000X Nutritionist | |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2025-05-12 |