| NPI | 1588090963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LH60664070) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007347) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2016-07-15 |