| NPI | 1730878547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61593248) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 109906) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2025-01-21 |