| NPI | 1013365048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L14258) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11697) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34001534A) | |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61434794) | |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2025-11-21 |