| NPI | 1508119538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60618673) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L14610) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2024-02-14 |