| NPI | 1184869885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078477) |
| 1041C0700X Social Worker, Clinical (Licence: WA 60616156) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2023-08-21 |