| NPI | 1508310178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60887588) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC 60582405) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2023-06-14 |