| NPI | 1669812210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7655) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60770104) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-01-27 |