| NPI | 1174644678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00005438) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW4734) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |