| NPI | 1023386166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3811C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60418275) |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2016-01-20 |