| NPI | 1790505063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61683033) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61327043) |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2025-06-13 |