| NPI | 1457964165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8861806) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: ID LMSW-41467) | |
| 104100000X Social Worker (Licence: WA SC61133193) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-11-18 |