| NPI | 1407166739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60840883) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60840883) |
| 1041C0700X Social Worker, Clinical (Licence: KS 3899) | |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2018-10-29 |