| NPI | 1528717675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015630) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4148) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-02-20 |