| NPI | 1952494007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60523421) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 094004673) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-12-16 |