| NPI | 1730529165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60737830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW35066) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2023-06-14 |