| NPI | 1225753585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR 15100) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LG200001231) |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2024-05-06 |