| NPI | 1710147863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LICSW4789) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR LISW2341) |
| 1041C0700X Social Worker Clinical (Licence: CA LCS22840) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |