| NPI | 1457550725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 121113) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60277273) |
| 104100000X Social Worker (Licence: WA LW60277273) | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2018-05-17 |