| NPI | 1760799506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60044225) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 113414) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |