| NPI | 1508258195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7619) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A3954) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2018-11-19 |