| NPI | 1932319001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60746808) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 29103) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-03-20 |