| NPI | 1518390913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW607576111) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 6989) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2021-06-02 |