| NPI | 1144778945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60481978) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008235) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |