| NPI | 1679923429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61095366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC 60592729) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2021-07-14 |