| NPI | 1750745709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60351346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004851) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |