| NPI | 1134510738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-35026) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00005855) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2021-08-18 |