| NPI | 1942516513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60691560) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6072) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2018-03-17 |