| NPI | 1194278390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8036) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A3874) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2019-05-21 |