| NPI | 1457417073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00004084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00004084) |
| 101Y00000X Counselor (Licence: WA LW00004084) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-03-07 |