| NPI | 1326653965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61059660) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L2200) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |