| NPI | 1982987491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61352705) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS27119) |
| 1041C0700X Social Worker Clinical (Licence: OR L13863) | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2024-03-27 |