| NPI | 1962547422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1513) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00005924) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-12-06 |