| NPI | 1750736419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86307) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60579738) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-03-13 |