| NPI | 1942371562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6471) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 06521) |
| 1041C0700X Social Worker, Clinical (Licence: OR 6471) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2021-09-23 |