| NPI | 1619175015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00009396) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: WA 325760G) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-07-30 |