| NPI | 1487966289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6747) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 9924115) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-12-09 |