| NPI | 1255065041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61209275) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61209275) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-08-25 |