| NPI | 1528478658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60421223) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I08388) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |