| NPI | 1801208319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60580792) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW - 33783) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60580792) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-08-27 |