| NPI | 1770182453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60893040) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2021-04-19 |