| NPI | 1417312927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6955) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR L6955) |
| 1041C0700X Social Worker, Clinical (Licence: CA 11566) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2021-02-12 |