| NPI | 1912441213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6615) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60685685) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |