| NPI | 1528436888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61136957) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW0009920979) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925536) | |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2023-07-05 |