| NPI | 1528632551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 48742) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61371991) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2025-09-29 |