| NPI | 1922027192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4698) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60066907) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-01-28 |