| NPI | 1053592097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4363) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60347759) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2024-08-09 |