| NPI | 1710118369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA RC60085419) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60427104) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2019-01-23 |