| NPI | 1164017604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11765) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A12337) |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2024-08-23 |