| NPI | 1942342464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3931) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00048956) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-02-18 |