| NPI | 1164020509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61023791) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61023791) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-12-31 |