| NPI | 1295997823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60677162) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW125780) |
| 104100000X Social Worker (Licence: WA SC60214942) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2017-04-12 |