| NPI | 1972600658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SW40001151) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00004684) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2007-07-08 |