| NPI | 1528340957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5361) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60134923) |
| 104100000X Social Worker (Licence: OR L5361) | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2019-12-09 |