| NPI | 1306320494 |
|---|---|
| Former Name | KELLY TERAKAWA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61006272) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60778321) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2021-12-13 |