| NPI | 1679250609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61584602) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A12659) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2025-10-21 |