| NPI | 1225367881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC 60272687) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC 60272687) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2015-11-16 |