| NPI | 1275071599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8035) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A4646) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2021-03-16 |