| NPI | 1528465481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61180114) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 171W00000X Contractor | |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2021-07-21 |