| NPI | 1235821950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61483671) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 61206252) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2024-08-16 |