| NPI | 1902611692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 3671135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60206048) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-02-10 |