| NPI | 1790069144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60356976) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007314) |
| 104100000X Social Worker (Licence: WA LW60356976) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2024-03-19 |