| NPI | 1205322492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00008694) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA 00008694) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-01-10 |