| NPI | 1487266318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L14188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015553) |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2023-07-31 |