| NPI | 1568736361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7925388-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60497055) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2015-10-22 |