| NPI | 1114748605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61531766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1121528) |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2025-04-18 |