| NPI | 1861644627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L2034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60217354) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2020-09-05 |