| NPI | 1740783364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60800928) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID LCSW36225) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2019-02-27 |