| NPI | 1255770426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 100237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61197069) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2025-08-13 |