| NPI | 1497096549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60428338) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014905) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2014-09-25 |