| NPI | 1629774245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA lw61389651) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 113260) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60644975) | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-12-04 |