| NPI | 1093123887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61303268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3128) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-07-06 |