| NPI | 1780033480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61033822) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2025-07-13 |