| NPI | 1073968319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60820025) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60509033) |
| Enumeration Date | 2016-04-24 |
| Last Update Date | 2021-01-15 |