| NPI | 1861887648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60914251) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA 240244586) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-08-14 |