| NPI | 1811329626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007635) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60509108) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2015-11-13 |