| NPI | 1356980239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13631) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927946) | |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2023-03-24 |