| NPI | 1972237311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-45371) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61523960) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2025-09-15 |