| NPI | 1104475409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61505219) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61234589) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2024-06-06 |