| NPI | 1770904732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60922002) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: HI LCSW 4146) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2021-05-18 |