| NPI | 1104392356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60908111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60636664) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2020-03-09 |