| NPI | 1053130476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60405207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 74384) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60405207) | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-09 |