| NPI | 1841626686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60267068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 3764) |
| 1041C0700X Social Worker, Clinical (Licence: OR 5338) | |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |