| NPI | 1265836910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8081) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A4271) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2019-05-28 |