| NPI | 1790815900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60144406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 1185) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-12-10 |