| NPI | 1013655117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8009) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61095839) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |