| NPI | 1467126540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61304006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A12614) |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-09-21 |