| NPI | 1316347198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW6055853) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR M5624) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2018-08-22 |