| NPI | 1003158155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60341247) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker (Licence: WA SC60341247) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2021-12-14 |