| NPI | 1003061227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW 60315172) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NY 079626-1) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2013-02-20 |