| NPI | 1871166991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61521564) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA SC61118885) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-06-14 |