| NPI | 1568977981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 79888) |
| 1041C0700X Social Worker, Clinical (Licence: MT 27008) | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2022-06-23 |