| NPI | 1194072009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60294654) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60152357) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |