| NPI | 1063630689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW00006430) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L3216) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2016-12-07 |