| NPI | 1477230860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA sc61453583) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 106046) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2024-08-26 |