| NPI | 1073747606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60163583) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00009617) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2019-04-12 |