| NPI | 1619336534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60881199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60605450) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2025-04-15 |