| NPI | 1023445582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60248750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017354) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-06-10 |