| NPI | 1447698501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60926883) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7835) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW79663) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2019-09-30 |