| NPI | 1639636574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60967682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60299757) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2023-04-19 |