| NPI | 1346550704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60747403) |
| 1041S0200X Social Worker, School (Licence: WA CG60143995) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2019-01-23 |