| NPI | 1215241971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60502155) |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37405) | |
| 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-50590) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2023-05-17 |