| NPI | 1376124792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11353) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 4948g) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2023-05-23 |