| NPI | 1639703960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A13445) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61274497) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2023-12-14 |