| NPI | 1477329951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P019966) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 1041C0700X) |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-05-15 |