| NPI | 1679554000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L1920) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00004343) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2007-07-08 |