| NPI | 1760039069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 11288) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A10266) |
| 1041C0700X Social Worker, Clinical (Licence: OR A10991) | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2023-09-07 |