| NPI | 1679994610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L17543) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6043) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2026-01-20 |