| NPI | 1023412442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60901822) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 25547) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2019-08-08 |