| NPI | 1508264185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60694899) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60364820) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2018-03-07 |