| NPI | 1619304508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008323) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60237166) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |