| NPI | 1861258733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61480245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L15200) |
| 1041C0700X Social Worker, Clinical (Licence: CA 125330) | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2025-06-17 |