| NPI | 1134116502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW - 1136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 00008547) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2024-05-24 |