| NPI | 1457663726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60590072) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I.1100160) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2016-04-27 |