| NPI | 1306065594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 20704LW00004143) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00004143) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2014-08-06 |