| NPI | 1982771960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 00006910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008697) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-03-22 |