| NPI | 1235650649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 06480) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61386550) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2026-02-18 |