| NPI | 1821481110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8243) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61450478) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2025-12-19 |