| NPI | 1689007577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60675085) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 35323) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2023-08-28 |