| NPI | 1790110500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60947929) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA D6509978) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2022-04-20 |