| NPI | 1073058400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60925928) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 95929) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2022-12-13 |