| NPI | 1558546465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 26857) |
| 1041C0700X Social Worker, Clinical (Licence: WA 60953258) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2025-09-26 |