| NPI | 1770644577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 9399264-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60058539) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60058539) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-11-07 |