| NPI | 1275912198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60871622) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60562534) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2019-10-14 |