| NPI | 1093145963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60749802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6509) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2018-03-16 |