| NPI | 1588700280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60084972) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR 4288) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2021-12-28 |