| NPI | 1427458652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10825) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR M5207) |
| 1041C0700X Social Worker, Clinical (Licence: OR A5207) | |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2023-05-08 |