| NPI | 1568437341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA 60429756) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041C0700X Social Worker Clinical (Licence: ID LCSW-1345) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-04-12 |