| NPI | 1588119143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60947773) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 111488) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2021-07-02 |