| NPI | 1629851357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61478974) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2025-08-04 |