| NPI | 1649676685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60811594) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60811594) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2024-09-18 |