| NPI | 1255897229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60931166) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 65886) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |