| NPI | 1750735387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6757) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60594272) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-12-21 |