| NPI | 1093804130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00007802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00007802) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-02-27 |