| NPI | 1154696086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60185885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00006666) |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2015-04-30 |