| NPI | 1649934217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61493479) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61220954) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2024-12-09 |