| NPI | 1518121243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00056642) |
| 104100000X Social Worker | |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2011-03-25 |