| NPI | 1336888437 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61572080) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 10868601-3501) | 
| Enumeration Date | 2022-05-27 | 
| Last Update Date | 2024-07-31 |