| NPI | 1588250245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61504325) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL ISW16206) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2024-06-27 |