| NPI | 1427343169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA lw60584181) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60584181) | |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2021-05-19 |