| NPI | 1679015630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61435952) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61435952) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-08-28 |