| NPI | 1689909871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 601946619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-29818) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2013-10-09 |