| NPI | 1699184838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61290810) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 22739) |
| 1041S0200X Social Worker, School | |
| 1041C0700X Social Worker, Clinical (Licence: IA 127135) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 101866) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2025-01-16 |