| NPI | 1861902256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10321) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A4887) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2020-10-08 |