| NPI | 1255583092 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004897) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06179400) | 
| Enumeration Date | 2008-10-10 | 
| Last Update Date | 2025-08-30 |