| NPI | 1447237136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA 61064713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 03466803501) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2021-10-26 |