| NPI | 1295107795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5659) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60737062) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2021-12-28 |