| NPI | 1346406550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR L15228) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007951) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2024-10-22 |