| NPI | 1316402852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60915408) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 009820) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |