| NPI | 1790496875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61522820) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60671040) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2024-02-08 |