| NPI | 1356110860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 18606) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61447844) |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2026-04-24 |