| NPI | 1477204154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61491481) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 226234) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2023-10-02 |