| NPI | 1275941551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61435128) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61435128) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60715825) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2024-11-07 |