| NPI | 1104945518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60231703) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 6196) |
| 1041C0700X Social Worker, Clinical (Licence: CA 27015) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-07-21 |