| NPI | 1184280968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8671832) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SA60711545) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2025-06-10 |