| NPI | 1104385418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61152108) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60800137) |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2021-10-29 |