| NPI | 1649656455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L14753) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011000) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-02-29 |