| NPI | 1497183495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4384) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60581946) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2022-06-16 |