| NPI | 1164076352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8582-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60958275) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2021-12-15 |