| NPI | 1962811190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61112092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60564150) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2022-11-22 |