| NPI | 1649678434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1600792) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2020-05-22 |