| NPI | 1063717999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60127414) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS18401) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2024-03-14 |