| NPI | 1790715076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00005779) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-01-08 |