| NPI | 1679925671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61163212) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2025-02-07 |