| NPI | 1720696669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA 61147653) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2024-09-20 |