| NPI | 1386369783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A15306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61557302) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2024-10-24 |