| NPI | 1639296205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60458616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60458616) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-08-25 |