| NPI | 1205214285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60848623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7377) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-02-26 |