| NPI | 1841668027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16243) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041S0200X Social Worker, School (Licence: OR L16243) | |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2025-04-30 |