| NPI | 1811062243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW-60711928) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-29456) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-07-27 |