| NPI | 1346433471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00006359) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00006359) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2013-09-13 |