| NPI | 1558474452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR OR 001604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA WA LW00004093) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-10 |