| NPI | 1568299675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61610032) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL ISW20705) |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2025-06-13 |