| NPI | 1336793983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61371338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 14479) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-03-13 |