| NPI | 1740888338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60821998) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3089SR) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-12-14 |