| NPI | 1740717388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L15505) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW18654) |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2025-03-10 |