| NPI | 1639318587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00008709) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA RC00018534) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |