| NPI | 1902184682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60147954) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L4978) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |