| NPI | 1366963860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A13467) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW00079) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2022-07-18 |