| NPI | 1205489531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 11195) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A5581) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2023-09-18 |