| NPI | 1104160761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60134409) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: WA 394375J) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2016-02-17 |