| NPI | 1548880255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4109) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60576997) |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2022-11-10 |