| NPI | 1871960864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61307595) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L11328) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2025-09-03 |