| NPI | 1770611485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 1041C0700X) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M 5779) |
| 1041S0200X Social Worker, School (Licence: NM M 5779) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-06-27 |