| NPI | 1194207183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61098718) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60770085) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-11-08 |