| NPI | 1447425699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00007579) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |