| NPI | 1508882200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60062992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60062992) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-12-18 |