| NPI | 1609242890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61076495) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61076495) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC 60491944) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2020-10-26 |