| NPI | 1720435100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007273) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2023-12-13 |