| NPI | 1790410686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100954) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011946) | |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2022-07-23 |