| NPI | 1750615803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60938651) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 4334) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2020-06-29 |