| NPI | 1366989832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7502) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO SWP.0001182) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2018-11-08 |