| NPI | 1407848369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-11854) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00005285) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2009-01-09 |