| NPI | 1689731150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW 60536419) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-01-02 |