| NPI | 1750588141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60145827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4523) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2011-06-22 |