| NPI | 1326517616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC60996590) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG60897541) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2019-09-13 |