| NPI | 1467915876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 61029563) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60499434) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-09-12 |