| NPI | 1407003692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27434) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 115706) |
| 1041C0700X Social Worker, Clinical (Licence: WA 60022335) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2025-05-21 |