| NPI | 1417466178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.61315907) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-07-21 |