| NPI | 1760878805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61044135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005191A) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2024-09-19 |