| NPI | 1285899864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6744) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60759938) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2019-07-16 |