| NPI | 1962943845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L13801) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C011321) |
| 1041C0700X Social Worker Clinical (Licence: NC POO9549) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2022-12-06 |