| NPI | 1619227329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3498) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60284146) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2020-02-17 |