| NPI | 1730517020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61212631) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61212631) |
| 1041C0700X Social Worker, Clinical (Licence: UT 8331536-3501) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2022-11-08 |