| NPI | 1326246992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA RC00043959) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60183276) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2011-01-15 |