| NPI | 1265901771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61453701) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61453701) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2024-05-03 |