| NPI | 1245687466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC 60547931) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A4239) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |