| NPI | 1922557040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A17837) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2026-04-13 |