| NPI | 1003266206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61179889) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8977595-3501) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2022-08-19 |