| NPI | 1215577721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61443848) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: WA SC61254176) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2024-01-12 |