| NPI | 1104697648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61560571) |
| 101Y00000X Counselor | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-05-07 |