| NPI | 1366748758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004044) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW00004044) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2022-04-14 |