| NPI | 1871676445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60118602) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L5028) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-07-05 |