| NPI | 1770738221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 00006832) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L3049) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |