| NPI | 1215123435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00009073) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4029) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |