| NPI | 1982228417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A5006) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60895316) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |