| NPI | 1124473087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60796321) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60796321) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2019-01-23 |