| NPI | 1619449790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61174381) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 138557) |
| Enumeration Date | 2018-12-29 |
| Last Update Date | 2021-07-16 |