| NPI | 1770817660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60063910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5300062-3501) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2014-05-14 |