| NPI | 1376909622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60987249) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR L8261) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60987249) | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2026-05-01 |