| NPI | 1235108309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60875994) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 3086403501) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2021-10-04 |