| NPI | 1659836401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60206060) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 7926) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2022-07-07 |