| NPI | 1083711337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 00009304) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA CA00009068) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-12-21 |