| NPI | 1710222617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4022) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2025-09-23 |