| NPI | 1770186496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61224018) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000123213) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-10-18 |