| NPI | 1972902864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60627693) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L8534) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2024-07-03 |