| NPI | 1619625357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWI.LW.61590336) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M11859) |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2026-02-10 |