| NPI | 1730800079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L15132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009923076) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2024-04-30 |