| NPI | 1174197081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60973004) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW43597) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-01-19 |