| NPI | 1871102657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L18075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2022040776) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2026-07-07 |