| NPI | 1972271179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8861921) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61666816) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-05-29 |