| NPI | 1881156263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L14359) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 10167219-3501) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2024-09-11 |