| NPI | 1134589948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61422290) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2025-09-05 |