| NPI | 1073954624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60497049) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA SC60227141) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2016-06-01 |