| NPI | 1447313028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID 25024) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA 61600816) |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-25024) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2025-04-24 |