| NPI | 1336619071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60893814) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60577828) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2021-12-23 |