| NPI | 1114658374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61492983) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61161811) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-06-07 |