| NPI | 1780218321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61050854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 91130) |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2020-09-17 |