| NPI | 1336392307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW00009346) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 85) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |