| NPI | 1457540809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 10752) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00008141) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2023-02-16 |