| NPI | 1538467774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-30961) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60108631) | |
| Enumeration Date | 2011-03-12 |
| Last Update Date | 2018-03-17 |