| NPI | 1710028220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004250) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00008670) |
| 1041C0700X Social Worker, Clinical (Licence: OR L3727) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 090400250) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2023-08-17 |