| NPI | 1902647878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61536107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 257652) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |