| NPI | 1750807814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60542556) |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2018-10-12 |