| NPI | 1558606970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60196346) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |