| NPI | 1265974620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61089047) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2020-11-22 |