| NPI | 1114546595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61440983) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61440983) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2023-08-28 |