| NPI | 1215063771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00005024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3352) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801003699) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |