| NPI | 1609004555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25976) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60022340) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2011-03-16 |