| NPI | 1134422629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60801332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7279) |
| 1041C0700X Social Worker, Clinical (Licence: TX 51204) | |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2024-03-22 |