| NPI | 1124412937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60659130) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60659130) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60402176) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2022-12-15 |