| NPI | 1508117995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00008212) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00008212) |
| 1041S0200X Social Worker, School (Licence: WA LW00008212) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2014-09-17 |