| NPI | 1083797351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60142959) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801086168) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-10-10 |