| NPI | 1568076198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A12516) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-06-06 |