| NPI | 1083953939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60159629) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 1517) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2020-05-08 |