| NPI | 1154480143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5658) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60906461) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-04-12 |