| NPI | 1942611603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8558) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16661) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2022-12-08 |