| NPI | 1679008163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60748476) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L7044) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2017-09-13 |