| NPI | 1336790047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015908) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60988973) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-07-30 |