| NPI | 1023639267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 106256) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 11990-C) |
| 1041C0700X Social Worker Clinical (Licence: WA LW61215317) | |
| 1041C0700X Social Worker Clinical (Licence: OR L15883) | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2025-06-24 |