| NPI | 1902232663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28109) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60317784) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2025-01-17 |