| NPI | 1992283360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61625959) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2025-10-10 |