| NPI | 1700192465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60456453) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60155323) |
| 1041C0700X Social Worker, Clinical (Licence: TX 106206) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW1273) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2021-12-21 |