| NPI | 1255154597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61655818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 16861) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2025-03-05 |