| NPI | 1922612035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 70069541) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L11796) |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2026-06-03 |