| NPI | 1750493847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR LCSW-4117) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW 24617) |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-31483) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-02-01 |