| NPI | 1780054940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60780457) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC SW .11449 LMSW) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2021-03-22 |