| NPI | 1083168561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 38939) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 36029) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61048132) | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2020-10-07 |