| NPI | 1740563113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 925) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61259040) |
| 1041C0700X Social Worker, Clinical (Licence: OR L7798) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2023-03-06 |