| NPI | 1013592153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61533353) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 12010) |
| 104100000X Social Worker (Licence: MO 2021005101) | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2025-01-07 |