| NPI | 1417135146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60870468) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 38131) |
| 1041C0700X Social Worker, Clinical (Licence: LA 3264) | |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2019-03-18 |