| NPI | 1366989832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61301661) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2025-06-30 |