| NPI | 1679868723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60173053) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60194304) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |