| NPI | 1588634174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00009586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 21170) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2019-02-22 |