| NPI | 1194363473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61472576) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4267C) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2025-05-06 |