| NPI | 1306132816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 00009491) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-24 |