| NPI | 1144005752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60935695) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L7025) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-12-14 |