| NPI | 1235295890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 42662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00007069) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-02-27 |