| NPI | 1679894653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60907134) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2024-09-02 |