| NPI | 1831397785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60550566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005166A) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2019-07-02 |