| NPI | 1356855811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC60807406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60807406) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2019-12-10 |