| NPI | 1114648136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L15730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61481012) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2025-01-29 |