| NPI | 1114087020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006426) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LW00006426) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-04-06 |