| NPI | 1538681697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA KENNELA045KL) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA KENNELA045KL) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2019-10-09 |