| NPI | 1700346608 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61468962) | 
| Additional Taxonomies | 104100000X Social Worker | 
| Enumeration Date | 2019-03-25 | 
| Last Update Date | 2025-02-25 |