| NPI | 1033253281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR 01814) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00005085) |
| 1041C0700X Social Worker Clinical (Licence: MN PENDING) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2007-07-08 |