| NPI | 1982008579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13053) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36286) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2022-09-09 |