| NPI | 1679925671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61163212) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: UT 13944334-3501) | |
| 1041C0700X Social Worker, Clinical (Licence: OR L13268) | |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2026-03-12 |