| NPI | 1710595301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015378) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61482652) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-03-20 |