| NPI | 1043544315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60502420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW33508) |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2017-04-10 |