| NPI | 1114390010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60907426) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA sc60584558) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2019-06-27 |