| NPI | 1609037860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61219416) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2024-02-08 |