| NPI | 1982902649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60173123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA CG60114272) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |