| NPI | 1124190418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61405533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005011) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2024-03-12 |