| NPI | 1750199642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7299) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61574755) |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2025-04-23 |