| NPI | 1265982904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60706472) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60706472) |
| 1041C0700X Social Worker, Clinical (Licence: OR L6918) | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-03-21 |