| NPI | 1255075115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA 61425442) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 67947) |
| 1041C0700X Social Worker, Clinical (Licence: WA 61425442) | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2025-09-08 |