| NPI | 1790476547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SWI.LW.70006860) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931796) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-09-18 |