| NPI | 1053716985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61024979) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61024979) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2020-11-19 |