| NPI | 1427756162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L14099) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW20902) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2024-05-23 |