| NPI | 1780851626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7984) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR 930386966) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2025-01-22 |