| NPI | 1821453762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 4690) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 00009487) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |