| NPI | 1023459161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60847072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3812) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2021-06-10 |