| NPI | 1750493623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3226) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00007829) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-12-22 |