| NPI | 1710903489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60181769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 08680) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-10-27 |