| NPI | 1538226303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR 3018) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00008786) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-12-13 |