| NPI | 1679995005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-4168) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60424614) |
| 104100000X Social Worker (Licence: SC 11277) | |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2016-10-11 |