| NPI | 1982030011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11081-123) |
| 1041C0700X Social Worker, Clinical (Licence: KY 256456) | |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2023-09-09 |