| NPI | 1699855817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L1479) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR L1479) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-04-01 |