| NPI | 1164979993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61245925) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60894805) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2022-07-19 |