| NPI | 1649517350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: WA SC60504296) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OR 8020) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2014-12-08 |