| NPI | 1356699672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00008002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 4330) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |