| NPI | 1679635817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW00009456) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00009456) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-10-01 |