| NPI | 1942497789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00009454) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00009454) |
| 1041C0700X Social Worker, Clinical (Licence: OR 3971) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2019-02-22 |