| NPI | 1649635913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61326712) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61326712) |
| 1041C0700X Social Worker, Clinical (Licence: OR L15117) | |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2024-08-15 |