| NPI | 1235917105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L18177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 16308) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2026-09-10 |