| NPI | 1285155168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61222763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 130658121) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2024-03-03 |