| NPI | 1447232327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3246) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 1460) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW00007917) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-09-19 |