| NPI | 1770728859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60252585) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA RC00054770) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2021-04-20 |