| NPI | 1831618321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SWI.LW.61469348) |
| 1041C0700X Social Worker, Clinical (Licence: CA 109633) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2026-05-06 |